BUILDING A LEGACY OF HEALTHY CHILDREN

JANUARY 14, 2014

ADVOCATES FOR CHILDREN AND YOUTH

▪ Is an independent, state-wide, child advocacy organization seeking to create a better life for each of Maryland’s children through policy, practice, and advocacy.

▪ We work across four issue areas which include education, child welfare, juvenile justice and health

▪ Our goal with implementation of the ACA is to ensure that Maryland’s most vulnerable children and families:▪ Have access to affordable health care coverage through a

“No Wrong Door” streamlined enrollment approach▪ Have meaningful access to providers and services that

meet their needs.

MARYLAND INITIATIVES RELATED TO HEALTH REFORM

IMPLEMENTATION

▪Medicare/All Payer Waiver▪State Innovation Model Program (SIMs)▪ State Health Improvement Plan (SHIP)▪MHIP – Access for Bridge Eligible Individuals▪ Health Enterprise Zones

MOVING FORWARD IN MARYLAND

▪ Fully functional IT system that can generate demographic data on enrollment, as well as monitor churn

▪ Data collection that will allow ongoing analysis of network adequacy and access to primary care providers and specialists

▪ Identification of baseline data on the uninsured and development of metrics for measuring the success of health reform in improving outcomes and reducing health disparities.

▪ Successful integration of all medical assistance and social welfare programs into the HIX by the end of 2015 and realization of a true “No Wrong Door” enrollment system

ACY PRIORITIES▪ Monitor enrollment and access to health services for former foster youth who

are now eligible for Medicaid to age 26

▪ Monitor network adequacy for primary and pediatric specialty services; ensure meaningful access to pediatric dental care

▪ Build on the work of the Navigator Advisory Committee by establishing a “learning collaborative process” for the Connector Entities to ensure that best enrollment practices are shared in real time

▪ Identify appropriate integrative care models, such as health homes, to improve the health status of vulnerable children and youth

▪ Collaborate across silos to address social determinants of public health

▪ Continue to work with Maryland AAP and others to identify existing and missing indicators for pediatric health

8 Market Place, Suite 500Baltimore, Maryland 21202

410-547-9200www.acy.org

Leigh Stevenson Cobb,Health DirectorEmail: lcobb@acy.org